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Nebraska rates for HCPCS 81105

Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]) (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-1a/b (L33P)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $323.59 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $234.42 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $229.09 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $114.82 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $123.03